Broncho-Adventitial Delivery of Paclitaxel to Extend Airway Patency in Malignant Airway Obstruction Patients

NCT ID: NCT02066103

Last Updated: 2018-04-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2016-06-30

Brief Summary

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Assess the safety and feasibility of local oncological drug delivery into the bronchial wall after recanalization of subjects with malignant airway obstruction. Safety and feasibility (technical success) will be assessed.

This localized delivery is intended as an adjunct therapy and all subjects will receive standard of care oncology therapy as determined by their treating physicians.

Detailed Description

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Conditions

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Malignant Airway Obstruction Secondary to Non-small Cell Lung Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Treatment

Group Type EXPERIMENTAL

Paclitaxel

Intervention Type DRUG

Interventions

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Paclitaxel

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Life expectancy of at least 12 weeks
* Adequate bone marrow, liver, and renal function
* Scheduled to undergo bronchoscopy for malignant airway obstruction as standard medical care
* Pathologically confirmed, unresectable primary or recurrent non-small cell lung cancer
* Measurable disease with obstruction into the airway
* Pathologically confirmed, unresectable primary or recurrent non-small cell lung cancer
* Patients undergo recanalization procedure of tumor during bronchoscopy
* Investigator is able to insert and deploy the Blowfish Catheter into the airway after recanalization

Exclusion Criteria

* Second primary malignancy, except for non-melanoma skin cancer and in situ cervical cancer
* Pregnant or nursing female subjects, or female subjects of child bearing potential who refuse to take a pregnancy test prior to their enrollment in this study
* Uncontrolled infection
* Presence or recent history of any systemic disorder or conditions, such as:

* uncontrolled hypertension
* type 1 diabetes
* severe pulmonary hypertension
* acute kidney injury
* stroke (within the last 6 month)
* myocardial infarction (within the last 3 months)
* Individuals with neurological, mental or psychiatric disorders
* Concurrent participation in another study involving investigational drugs or investigational medical devices
* Other (non-cancer) disease not stabilized within 1 month before the Screening Visit
* Known hypersensitivity to paclitaxel, Cremophor EL, or iodinated contrast media
* Use of pulmonary airway stents and/or ongoing or initiation of local external beam or brachytherapy radiation
* Any intraoperative complications that per the investigator's judgment increase the risk to the patient.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Mercator MedSystems, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Johns Hopkins University

Baltimore, Maryland, United States

Site Status

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Duke University

Raleigh, North Carolina, United States

Site Status

Countries

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United States

References

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Yarmus L, Mallow C, Akulian J, Lin CT, Ettinger D, Hales R, Voong KR, Lee H, Feller-Kopman D, Semaan R, Seward K, Wahidi MM. Prospective Multicentered Safety and Feasibility Pilot for Endobronchial Intratumoral Chemotherapy. Chest. 2019 Sep;156(3):562-570. doi: 10.1016/j.chest.2019.02.006. Epub 2019 Feb 15.

Reference Type DERIVED
PMID: 30776363 (View on PubMed)

Other Identifiers

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5R42CA141907-03

Identifier Type: NIH

Identifier Source: secondary_id

View Link

TSP0147

Identifier Type: -

Identifier Source: org_study_id

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